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7681“…Symptoms of EPI are non‐specific; therefore, a high index of clinical suspicion is required to make a correct diagnosis.…”
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7682por Petroni, Roberta Cardoso, da Rosa, Susana Elaine Alves, de Carvalho, Flavia Pereira, Santana, Rúbia Anita Ferraz, Hyppolito, Joyce Esteves, Nascimento, Claudia Mac Donald Bley, Hamerschlak, Nelson, Campregher, Paulo Vidal“…We report two cases of unrelated Brazilian families with clinical suspicion of the syndrome, which were treated in our department. …”
Publicado 2017
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7683“…This case report reminds the clinician to maintain a high index of suspicion for posterior dislocation of the shoulder following seizures and to perform appropriate imaging promptly.…”
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7684“…Distinguishing between cholangiocarcinoma and IgG4‐sclerosing cholangitis is challenging, and a high clinical suspicion for cholangiocarcinoma must always be maintained. …”
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7685por Gamba, Sebastian, Lachat, Mario, Alkadhi, Hatem, Simmen, Hans-Peter, Jensen, Kai Oliver“…We thus recommend that a high level of suspicion be upheld in both asymptomatic and oligosymptomatic patients with PNI and that clinical practitioners remain cautious in the face of deceptively reassuring radiologic findings.…”
Publicado 2017
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7686“…A high level of clinical suspicion is required, for patients of any ethnicity and sex presenting with features consistent with the disease, in order for prompt diagnosis, investigation and management to be achieved.…”
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7687“…Therefore, it is necessary to know the principles of interpretation of diagnostic methods. A suspicion of OSA requires confirmation. According to the guidelines of the Argentine Association of Respiratory Medicine, polysomnography (PSG) is the gold standard for OSA diagnosis, while home sleep testing (HST) can be accepted as a comparatively effective method depending on the clinical situation of the patient. …”
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7688por Tummidi, Santosh, Kothari, Kanchan, Patil, Roshni, Singhal, Shruti S., Shah, Vyoma“…Due to its rarity & vague presentation, early diagnosis requires a high index of suspicion. FNA can be used as an invaluable diagnostic tool in the evaluation of these lesions. …”
Publicado 2018
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7689“…Due to numerous confounding factors and a low index of suspicion, the diagnosis of Indian childhood cirrhosis remained elusive and was clinched only on liver biopsy, albeit more than three weeks later, shortly after which the child expired. …”
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7690Pituitary Apoplexy Presenting as Ophthalmoplegia and Altered Level of Consciousness without Headache“…A CT scan of the head could be negative for hemorrhage. A high index of suspicion is needed for early diagnosis and timely management of pituitary apoplexy.…”
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7691“…His echocardiogram and chest computed tomography (CT) confirmed bilateral enlargement with restrictive cardiomyopathy and mediastinal lymphadenopathy, raising a suspicion of sarcoidosis. A cardiac positron emission tomography (PET) scan confirmed the diagnosis by showing a non-caseating granuloma. …”
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7692“…However, this is not sufficient to confirm the suspicion of certain PIDs. Our innovative approach to diagnostics outlines the algorithm for PIDs and the clinical utility of immunophenotyping with a custom-designed multigene panel. …”
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7693“…There needs to be an increased index of suspicion among patients with dysphagia in TB endemic regions.…”
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7694por Mayro, Eileen L., Surakiatchanukul, Thamolwan, Shields, Jerry A., Shields, Carol L.“…A 49-year old male with corrected visual acuity of 20/25 OD and 20/20 OS was found to have an asymptomatic dark iris mass OD with suspicion for ciliary body melanoma. Predilation slit-lamp biomicroscopy revealed a well-circumscribed brown round mass arising posterior to the iris, presumably from the ciliary body; however, postdilation demonstrated an extended fusiform mass of the iris pigment epithelium (IPE). …”
Publicado 2018
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7695“…Physicians usually have a high index of suspicion for this condition in presence of certain risk factors (unexplained infants' deaths, consanguinity); however, >80% of infants with SCID have no positive family history. …”
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7696“…He was previously diagnosed with multiple system atrophy based on the lack of effectiveness of levodopa treatment. With suspicion of malabsorption due to his history of ileostomy, a levodopa challenge test with levodopa intravenous infusion was conducted, and revealed a 65% improvement in Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale part III. …”
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7697por Karakonstantis, Stamatis, Galani, Despoina, Korela, Dafni, Pitsigavdaki, Sofia, Kassotaki, Ifigeneia, Arna, Despoina, Xydakis, Dimitrios“…CONCLUSION: Gross hematuria, especially in the absence of pyuria or bacteriuria, should raise the suspicion for underlying IgA nephropathy, even if the rest of the clinical presentation is typical for a urinary tract infection. …”
Publicado 2018
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7698“…Therefore, a high degree of clinical suspicion is required for early diagnosis of these specific entities to avoid increased morbidity and mortality of these patients.…”
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7699Small bowel obstruction as a result of an obturator hernia: a rare cause and a challenging diagnosispor Pavlidis, Efstathios, Kosmidis, Christoforos, Sapalidis, Konstantinos, Tsakalidis, Alexandros, Giannakidis, Dimitrios, Rafailidis, Vasileios, Koimtzis, Georgios, Kesisoglou, Isaak“…This case report discusses an 85-year-old female who had symptoms of acute bowel obstruction; thanks to high degree of clinical suspicion and aided by a computed tomography (CT) of abdomen and pelvis, an incarcerated right obturator hernia was diagnosed preoperatively and treated successfully. …”
Publicado 2018
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7700“…Finding of a “halo” around the heart should raise suspicion on the presence of pericardial effusion and confirmatory investigation such as ECG may be warranted.…”
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